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DCPZP-2015-00130
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DCPZP-2015-00130
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3/31/2015 10:54:13 AM
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DCPZP-2015-00130
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DANE COUNTY ZONING PERMIT DCPZP 2015-00130 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> REALTY INVESTMENTS LLC (715)254-1229 FINISHING TOUCH INTERIOR SIGNS (715)845-0500 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2917 BUSINESS PARK DR 723 S 72ND AVE SUITE B <br /> (City,State,Zip) (City.State,Zip) <br /> STEVENS POINT,WI 54482 WAUSAU,WI 54401 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bil_fonti @bostoninc.net TARA @FTSIGN.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-343-8850-0 TOWN OF MADISON 34 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2402 W BELTLINE HWY <br /> subject to field verification.) <br /> — <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CSM 01536 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> C-2 Commercial 7.17 Description:ASHLEY SLEEP WALL SIGN(VARIANCE 3666) 328-Other Non-Residential <br /> District <br /> Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway 942 3666 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES Vi NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 27.8 Sq.Ft. Sq.Ft. `o\ <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error <br /> Sq.Ft. Sq.Ft. PERMIT FEE <br /> $100.00 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or �' „ 1- ,C3 plans submitted will invalidate the permit. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/27/2015 HJH3 <br /> ❑ YES ® NO DATE REVIEW INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: �ZO/'� J <br />
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